| Eduardo J Gonzalez Md Pa | |
|
8200 Sw 117th Avenue Suite # 114 Miami FL 33183-4825 | |
| (305) 595-2674 | |
| (305) 271-6779 |
| Full Name | Eduardo J Gonzalez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8200 Sw 117th Avenue, Miami, Florida |
| Authorized Official Name and Position | Eduardo J Gonzalez (PRESIDENT/PHYSICIAN/OWNER) |
| Authorized Official Contact | 3055952674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo J Gonzalez Md Pa 8200 Sw 117th Avenue Suite # 114 Miami FL 33183-4825 Ph: (305) 595-2674 | Eduardo J Gonzalez Md Pa 8200 Sw 117th Avenue Suite # 114 Miami FL 33183-4825 Ph: (305) 595-2674 |
| NPI Number | 1073836581 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 03/02/2011 |
| Medicare PECOS PAC ID | 0840323325 |
|---|---|
| Medicare Enrollment ID | O20100804000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073836581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eduardo J Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558305458 PECOS PAC ID: 2163555673 Enrollment ID: I20100804001080 |
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